Cardiopulmonary Exercise Testing (CPET) In Adults

Introduction[edit | edit source]

Cardiopulmonary exercise testing (CPET) is used to assess the integrative exercise responses involving the pulmonary, cardiovascular, haematopoietic, neuropsychological, and skeletal muscle systems.

It also used to evaluate.

  • Exercise capacity, functional capacity and fitness
  • Prognostic and Diagnostic evaluation of the patients with cardiovascular and pulmonary conditions e.g. ( Heart failure, Heart or Thoracic surgery, copd ) etc.

CPET involves the analysis of respiratory gases including.

  • Respiratory oxygen uptake (Vo2),
  • Carbon dioxide production (Vco2),
  • Ventilatory measures during a symptom‐limited exercise test.

Technique[edit | edit source]

Cardiopulmonary exercise testing (CPET) can be assessed by Laboratory method (treadmill or bicycle ergometer)

Equipments[edit | edit source]

  • Bicycle ergometer or Treadmill
  • 12-ECG leads
  • Non-invasive blood pressure cuffed monitoring
  • A non‐re breathing valve is connected to a mouthpiece to measure VO2 and (VCO2) and also prevent mixing of inspired and expired air
  • Pulse oximetry to monitor oxygen saturation levels.

Before attending the test[edit | edit source]

  • Do not eat a heavy meal for 2 hours before
  • Do not take alcohol for 4 hours before
  • Do not take vigorous exercise for 30 minutes
  • Do not wear any tight clothing that may restrict your breathing
  • Do not smoke for at least 1 hour prior